What is a coinsurance rate?

A coinsurance rate is a type of cost-sharing structure in health insurance plans in California. It is a percentage of the cost of a covered health care service that the insured person pays after meeting their deductible. For example, if an insured person has a coinsurance rate of 20% and their doctor visit costs $100, the insured person pays 20% of the cost, which is $20. The insurance company pays the remaining 80%, or $80. Coinsurance rates are set by the health insurance company and may vary depending on the service provided, the health plan, and the coverage purchased. Coinsurance is often used in combination with deductibles, copayments and other cost-sharing arrangements to help control the overall costs of health insurance plans.

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What is a coinsurance rate?

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